지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 130 - 137 (8page)
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초록· 키워드
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Objective: Far out syndrome is compression and entrapment of the L5 nerve root in the extraforaminal area between the hypertrophied L5 transverse process and the sacral ala. The purpose of this study was to describe the technique of unilateral biportal endoscopic decompression for far out syndrome and to analyze early clinical results after endoscopic decompression. Methods: The authors consecutively performed operative treatments for 16 patients with unilateral extraforaminal entrapment of the L5 nerve root (far out syndrome) using percutaneous biportal endoscopies. We included only patients who were followed more than six months after surgery. Demographic characteristics, operative time, concomitant herniated disc, and surgical complications were investigated. Clinical outcomes were evaluated using modified MacNab criteria, the visual analogue scale (VAS) for legs, and the Oswestry Disability Index (ODI). Results: Among 16 patients, a total of 14 cases with 4 males and 10 females were included in the study. The mean leg VAS and the ODI were significantly improved after unilateral biportal endoscopic surgery. Concomitant extraforaminal disc herniation was associated with a favorable outcome (p<0.05). Abdominal pain in the immediate postoperative period occurred in 2 patients. Abdominal pain was completely resolved with conservative management in both patients. Conclusion: We were able to achieve successful decompression of unilateral extraforaminal entrapment of the L5 nerve root using unilateral biportal endoscopic surgery. A unilateral biportal endoscopic approach may be considered as an alternative surgical treatment for far out syndrome.
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참고문헌 (15)
참고문헌 신청
Takeuchi M / 2015 / Lumbar extraforaminal entrapment: performance characteristics of detecting the foraminal spinal angle using oblique coronal MRI. A multicenter study / Spine J 15:895~900
Holm EK / 2017 / Symptomatic lumbosacral transitional vertebra : a review of the current literature and clinical outcomes following steroid injection or surgical intervention / SICOT J 3:71
Nardo L / 2012 / Lumbosacral transitional vertebrae : association with low back pain / Radiology 265:497~503
Wiltse LL / 1984 / Alar transverse process impingement of the L5 spinal nerve: the far-out syndrome / Spine(Phila Pa 1976) 9:31~41
Jancuska JM / 2015 / A review of symptomatic lumbosacral transitional vertebrae : Bertolotti’s syndrome / Int J Spine Surg 9:42
Holm EK / 2017 / Symptomatic lumbosacral transitional vertebra : a review of the current literature and clinical outcomes following steroid injection or surgical intervention / SICOT J 3:71
Nardo L / 2012 / Lumbosacral transitional vertebrae : association with low back pain / Radiology 265:497~503
Wiltse LL / 1984 / Alar transverse process impingement of the L5 spinal nerve: the far-out syndrome / Spine(Phila Pa 1976) 9:31~41
Jancuska JM / 2015 / A review of symptomatic lumbosacral transitional vertebrae : Bertolotti’s syndrome / Int J Spine Surg 9:42
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